| 02/06/2013 |
| 09:15:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| THOMPSON, KIM, | H5-KTHOMP | R | 19.00 | 4037********9091 | 906050 | 02/06/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.00 |